| NPI | 1801935812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX r9198) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R9198) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-04-10 |